The cestocidal effect of complement in normal and immuen sera in vitro.

The effects of complement and/or specific antibodies on the larval and adult stages of Echinococcus granulosus were studied in vitro. Lysis and death of both protoscoleces and adult E. granulosus occurred within 10 min to 24 h in 50% fresh normal sera used as a source of complement, without the presence of specific antibodies. The lytic and lethal reaction was marked in fresh sera from guinea-pigs, calves, dogs, man and sheep, but only slight in fresh sera from English rabbits and horses. Guinea-pig sera were shown to be complement deficient after reacting with worms and all reactions were abolished after sera had been heated to 56 degrees C for 30 min. Fluorescent antibody studies failed to detect host antibodies at the parasite tegument. It is suggested that activation of the complement system occurs via the alternate pathway, that it acts independently of the immune system and that it is lethal to a wide range of cestode parasites. In contrast, marked agglutination/precipitation reactions with protoscoleces and precipitation reactions with adult E. granulosus were observed after incubation in heat inactivated 50% canine antisera, but not in normal sera. The antigen-antibody nature of these reactions was established by fluorescent antibody studies and the areas of antibody attack pinpointed. In spite of these reactions, worms remained healthy and active over a period of 8 days.